Pregnancy increases aortic wall stress and, for a woman with a chronic dissection, this can lead to extension of the dissection, aortic rupture, and death. We report a pregnancy in a woman with a history of a chronic type B aortic dissection. As a child, she had repeat balloon dilation of aortic coarctation, and one of the procedures was complicated by an iatrogenic dissection at the dilation site. At the age of 27 years, she had a planned pregnancy.
ImmerFFBansiAGImmer-BansiAS, et al.
Aortic dissection in pregnancy: analysis of risk factors and outcome. Ann Thorac Surg2003;
76: 309–314.
2.
ThalmannMSodeckGHDomanovitsH, et al.
Acute type A aortic dissection and pregnancy: a population-based study. Eur J Cardiothorac Surg2011;
39: e159–e163.
3.
BeauchesneLMConnollyHMAmmashNM, et al.
Coarctation of the aorta: outcome of pregnancy. J Am Coll Cardiol2001;
38: 1728–1733.
4.
VriendJWDrenthenWPieperPG, et al.
Outcome of pregnancy in patients after repair of aortic coarctation. Eur Heart J2005;
26: 2173–2178.
5.
Regitz-ZagrosekVRoos-HesselinkJWBauersachsJ, et al.
2018 ESC Guidelines for the management of cardiovascular diseases during pregnancy. Eur Heart J2018;
39: 3165–3241.
6.
American College of Obstetricians and Gynecologists.Report of the American College of Obstetricians and Gynecologists' task force on hypertension in pregnancy. Obstet Gynecol2013;
122: 1122–1131.
7.
ButaliaSAudibertFCoteAM, et al.
Hypertension Canada's 2018 guidelines for the management of hypertension in pregnancy. Can J Cardiol2018;
34: 526–531.
8.
RodriguesCPintoLClodeN, et al.
Pregnancy after a previous gestation complicated by an acute aortic dissection. J Matern Fetal Neonatal Med2009;
22: 934–935.
9.
StoberockKWipperSDebusES, et al.
Chronic type B aortic dissection in a pregnant patient managed by simultaneous thoracic endovascular aortic repair and cesarean section in the hybrid operating room. J Vasc Surg Cases2016;
2: 25–27.
10.
WangaSSilversidesCDoreA, et al.
Pregnancy and thoracic aortic disease: managing the risks. Can J Cardiol2016;
32: 78–85.
11.
DonnellyRTPintoNMKocolasI, et al.
The immediate and long-term impact of pregnancy on aortic growth rate and mortality in women with Marfan syndrome. J Am Coll Cardiol2012;
60: 224–229.
12.
MeijboomLJVosFETimmermansJ, et al.
Pregnancy and aortic root growth in the Marfan syndrome: a prospective study. Eur Heart J2005;
26: 914–920.
13.
KamelHRomanMJPitcherA, et al.
Pregnancy and the risk of aortic dissection or rupture: a cohort-crossover analysis. Circulation2016;
134: 527–533.
14.
SilvestriVMazzesiGMeleR.Postpartum aortic dissection. A case report and review of literature. Int J Surg Case Rep2019;
56: 101–106.
